Browsing: Hand Wrist Pain

Hand Pain Can Disappear

Are you in pain every time you touch a keyboard? Does your pain level increase on a daily basis? Do you want to scream in pain while working? Do you think you will not make it until the end of the day? If the answer to any of these questions is yes, read on.

Working on a daily basis can be a real hassle. Setting our alarm clocks and rolling out of bed is stress enough. If we are like most Americans we take our daily suitcase trip down the freeway. When we arrive at our work place we are already stressed and ready to pack it in and start for home.

When you mix your stress level and pain level together it does not make for an enjoyable work day.

What can we do about this? We can take small steps. Taking small steps is how we all learned how to walk. In order to cur our hand pain we can start with a small idea that can lead to monumental results.

You can place a pad underneath your keyboard. It cushions your hands and arms and your pain will disappear or greatly diminish.

This is a baby step that work. This pad can be used at work as well as in your home workplace.

When your hands are happy you are happy and your family will be happy. They will not have to listen to you tell them about how much pain you are in on a daily basis.

Thank you for reading my article. Please feel free to read any of my numerous articles.

Copyright 2006 Linda E. Meckler

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Treat Carpal Tunnel Syndrome With Acupuncture

Acupuncture is the only treatment that reduces Carpal Tunnel syndrome effectively within minimum time. Carpal tunnel syndrome [CTS] is a natural injury caused by a mysterious pinched nerve in the wrist. This often results in growing pain and numbness in the index fingers, middle fingers and weakness of the thumb. The very disease “carpal tunnel syndrome” derives its name from organs called “carpals” in the hand that forms a tunnel in the body through which the nerve leads on to the extended hands.

Carpal tunnel syndrome explanations suggest that numbness in the thumbs and the first two fingers results from a disorder caused in the median nerve. Sometimes due to some natural obstacles, the median nerve gets acutely trapped in a channel near the wrist called “carpal tunnel”. The disease is also characterized by pain extending up to the forearm, coldness in the fingers and a paralysis sensation in the hands and arms. This syndrome is more common among doctors as “pins and needles paresthesias” also sometimes called as “dysesthesia” which means an unpleasure sensation.

Symptoms of carpal tunnel syndrome

Carpal tunnel syndrome symptoms include frequent irritation in the hands. However, following are the other symptoms of carpal tunnel syndrome symptoms:

1. Feeling of paralysis in the hands and fingers

2. Both daytime and nighttime painful tingling of hands followed by reduced ability to squeeze almost anything

3. Fingers get swollen suddenly

4. Loss of strength in the muscle at the base of the thumb near palm

5. Pain shooting rapidly from your hand up to the arms and even to the shoulder

Carpal tunnel syndrome treatments

Acupuncture detox carpal tunnel syndrome so it is very essential for treating CTS. It restores normal nerve functions and provides long-term relief from pain and irritation associated with CTS. The acupuncturist practitioners insert needles on those points along the meridians where “qi” or energy gets blocked. For farming CTS, the insertions are mainly done in the meridians located along the liver, kidney and gall bladder. These points are stimulated by traditional needle insertions, and heat / pressure applications. Once the stored energy starts getting distributed, CTS gets cured faster.

To reduce carpal tunnel syndrome you can also use various medicinal herbs in between the acupuncture sessions. You can use rivers like cramp bark [Viburnum opulus], St. John's wort [Hypericum perforatum] and wild yam [Dioscorea villosa]. These herbs are available as dried extracts [pills, tablets and capsules], tinctures [alcohol extraction] and teas. Mix them in a cup of tea and have it three times a day to experience faster cures.

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Magnetic Therapy Can Treat Repetitive Strain Injury – Tendonitis And Carpal Tunnel Syndromme

What is RSI, Tendonitis and Carpal tunnel syndrome?

Repetitive Strain Injuries (RSI) occurs from repeated physical movements doing damage to tendons, nerves, muscles, and other soft body tissues. Occupations ranging from meatpackers to musicians have characteristic RSIs that can result from the typical tasks they perform. The rise of computer use and flat, light-touch keyboards that permit high speed typing have responded in an epic of injuries of the hands, arms, and shoulders. Use of pointing devices like mice and trackballs are as much a cause, if not more so. The thousands of repeated keystrokes and long periods of clutching and dragging with mice slowly accumulates damage to the body.

The term Repetitive Strain Injury (RSI) is not, in itself, a medical diagnosis. It is used to describe a number of named musculoskeletal conditions (such as Tenosynovitis, Cramp of the Hand, Tendonitis, etc.) as well as 'diffuse RSI' which is more difficult to define but which recent research attributes to nerve damage. These are almost always occupied in origin. 'Repetitive Strain Injury' is a term similar to that of 'sports injury' in that it tells more about how the injury was sustained, rather than what the injury actually is. This condition refers to the tender swapping of tendons, the rope or cord like structures which connect muscles to bones in order to work the joints of the body. When any group of tendons are overused microscopic tears can result, leading to inflammation. Even a minor contracting in the muscle can then lead to further irritation.

Tendonitis more commonly affects the hand, wrist, elbows and shoulders, although it may occur at any joint in the body. Other conditions may be linked to inflammation of the tendons, such as Tenosynovitis. Tendonitis results in pain and local tenderness. The thickening and scarring may prevent the affected fingers or limbs from going through their normal range of movements. The increase in pain and disability is usually gradual, unless the injury is the result of sudden strain (tearing) or a direct blow. The most common recognizable factor is overloading the tendon through repetitive physical activity. Certain sports may cause discomfort and at work it can occur from overuse of the keyboard, computer mouse or through routine assembly line work.

The carpal tunnel is a passageway in the wrist formed by the eight carpal (wrist) bones, which make up the floor and sides of the tunnel, and the transverse carpal ligament, a strong ligament stretching across the roof of the tunnel.

Inside the carpal tunnel are tendons which run down from the muscles in the forearm and work to flex your fingers and thumb. Also running through the tunnel is the median nerve, a cord about the size of a pencil, supplying information back to the brain about sensations you feel in your thumb, index, middle and (occasionally) ring fingers.

In carpal tunnel syndrome the median nerve gets squeezed, often because the tendons become swollen and overfill the tunnel. The median nerve within the carpal tunnel is very sensitive to pressure and so there are many possible causes including arthritis, fluid retention and diabetes. If the problem comes on during the day it is important to look for a link to regular physical activities at work or home, for example; writing, typing, using a computer mouse, DIY, housework or knitting. Repeated flexion and extension of the wrist, as is common in various work activities, can cause inflammation which puts pressure on the nerve. Work factors which can contribute to the condition include insufficient breaks and awkward posture.

Magnetic treatment of RSI, Tendonitis and Carpal tunnel syndrome.

RSI, Tendonitis and Carpal tunnel syndrome are injuries related to the stress and overload of tendons and muscles with in the body. Although most people associate them with the hand, wrist and arm, RSI can occur anywhere in the body where the is a constant repetition of an action. This type of strain injuries are usually acute in natural rather than chronic and can be treated very successfully. The predominant aim with all of these conditions is to reduce the inflammation which surrounds the strained tendons, muscles and tissues, plus renew the damaged soft tissue. Whilst conventional treatments revolve around using painkillers, rest, splints and even in some cases (carpal tunnel syndrome) surgery, magnets will work to treat the inflammation that is causing the condition to continue. Typical magnetic therapy treatments for these conditions would be:

1) RSI: Wherever the RSI is located magnets must be placed directly over the strained area. Most commonly straps or wraps are used as they also provide an element of support as well as magnetic therapy. For example RSI in the back would be treated with a back support. As RSI damage is usually limited to soft tissue, muscle and tendons results can be seen quite quickly as the magnetic field will reduce the inflammation which is pressing upon the nerve endings with in a few days (in most cases).

2) Tendonitis: Predominantly in the arm, this can be treated with straps around the injury or by using high strength magnetic jewelery. If jewelery is used on the wrist and the injury is in the elbow or upper arm then the strength of the jewelery must be strong enough to allow the magnetic field to penetrate all the way to the injury. As previously discussed a magnetic field weakens as it moves away from the magnetic source. For this reason the jewelery should be at least 2,000 gauss / 200 m Tesla per magnet.

3) Carpal tunnel syndrome: This is always located in the wrist and is very easy to handle with a wrist support or a magnetic bracelet. As with all conditions the magnets must be worn day and night to be of most benefit, this is particularly important with Carpal tunnel syndrome as most of the symptoms occur during the night time (pins and needles, cramp, numbness, swelling).

All three of these alimities are very painful and limit the mobility of the area that is affected, but they do not have an underlying disease process such as arthritis or osteoporosis. The damage occurs as a result of tasks which the sufferer does on a daily basis. This means that once the symptoms have been resolved the condition is, in effect, 'cured' in such that it will not reappear until the repetition has again been performed a significant number of times to cause the condition to reappear. As a result once the injury has been resolved sufferers can go for long periods of time with out any symptoms and when symptoms do start to reoccur the immediate application of magnets will resolve the pain very quickly.

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Preventing Carpal Tunnel and Computer and Cell Phone Radiation Cancer

It used to be that physical injury was associated with Huns and Barbarians pillaging your village. When a man calls me “Honey” is he really sending me a mixed message? While you are sitting there reading this absolute baloney in front of your computer screen or instant messaging your hordes of buddies you are actually nuking yourself to death. Is not it always the case that the things that are the most fun in life are the things which tear your cells limb from limb hurling you into life long unbearable pain and death?

An ounce of prevention is worth a pound of cure. Does this mean that two ounces of prevention are worth two pounds of cure? One in three people die of cancer and we spend trillions of dollars on cancer research and cancer drugs and radiation machines and we suffer in agony for years like dogs during cancer treatments medicating and radiating ourselves and then we succumb. This is our medical and economic system. Every school child and even my aunt Jenny knows that car exhaust fumes and smokestacks are the cause of cancer. Why do not we just do away with them? What many people do not know is that electro magnetic radiation shooting out of your cell phone and computer monitor and hard drive also cause the big C.

An agoraphobic like Howard Hughes aka Leonardo DiCaprio in The Aviator locks himself away in his hotel suite for 6 years afraid to come out for fear of catching a germ which in his mind is a dirigible sized alien monster attacking him mercilessly. Howie Hughes sits alone in his room watching Deal or No Deal and running Trans World Airlines, Hughes Aircraft and directing Jane Russell in “The Outlaw” armed only with his cell phone and desktop computer thinking that he has successfully shielded himself from the dangers of the industrial revolution, rampant crime and viruses and bacteria which mutate into new illnesses every day. If you do not believe me then just ask the birds and killer bees and the cows. One of my favorite Hughes pictures was the “Killer Bees from Arizona” trilogy.

The obvious cure for cancer is to stop poisoning the air water and earth we are made of by doing away with cars and smoke stacks and cell phones and computers as our super brilliant pyramid and space ship building ancestors did for 5 million years but human beings don 't like it plain and simple. Tomorrowmore bloggers would never allow it. What would they do all day? Instead of riling up millions of people with their brainwashed prejudiced minds they would have to go back to simpler times and gossip among their fellow village people.

You are lying in your bed trying to go to sleep only this incredibly excruciating electrical pain is shooting from your wrists up into your arm and you are as likely to fall sleep as Jane Russell is to go on a second date with Mickey Rooney. So you go to your medicine cabinet and dope yourself up with codeine and morphine from Afghanistan provided by your doctor and your pharmacist. Heaven forbid humans should ever eliminate the root cause of their problems the economy would collapse these people would have you believe. The Huns had quite a prosperous economy not to mention the perks. So where did this unbearable wrist pain come from? Did some Barbarian sneak into your home late at night like John Mark Karr and twist your arm for you to go out on a second date with him promising that he had remedied his problem at the new naturopathic halitosis specialist who moved in two doors down from his cousin Jenny?

Picture the inside of your wrist. Your wrist is a circular bone. Inside of your wrist there is a spinal cord running from your arm to your hand. Every one of the million times a day that you hit a key on your keyboard your hand moves down and the circular wrist bone hits the wrist spinal cord. Then the wrist spinal cord get inflated and injured and the carpal tunnel person has arrived to ruin your life. The prevention and the cure is to stop your hand from moving down. You do this by going out to the store and buying two nicely fitting wrist splints with an iron bar running along the bottom which results your hand from moving down every time you hit the keys. The key to happiness in life is to eliminate all of the men. Now that we can freeze sperm and clone who needs them? They buy you a new computer, profess their undying love to you and a month later they can not remember your name. Another cool trick is to forget the proper way of typing. Begin to hunt and peck and never use your thumbs. The second that you use your thumb your hand rolls over and you are well on your way to Carpalville Ohio. It is also bad to use a roll mouse because rolling down the page leads to index finger pain which easily add 6 shots to your handicap.

Your computer monitor and hard drive and cell phone are all giving off cancer causing radiation which causes stress, irritability, erectile dysfunction and finally cancer. It is well known that cell phones cause brain cancer. The antenna placed close to your head in frying your brain. The cell phone makers know this and market their most expensive models like Carol Alt as having the least amount of radiation. If you go to the health show in your city you will find booths with people selling little metallic circular stickers which when placed on your monitor and hard drive and cell phone actually eliminate the deadly radiation. In your search engine boxes type in cell phone radiation and you will find the solution to the problem that you did not even know that you had. People think that because they can not see something like a radio signal that it does not exist. Here is a coded message to all Al Qaeda members: “Do not be fooled by the rocks that I got, I'm still Jen Jen Jenny from the block.” Osama Bin Laden is sitting in his cave grooving to the new J Lo DVD but his doctor Ayman Al Zwahiri can not do a darn thing for his carpal tunnel syndrome. All of that instant messaging with Jenna Bush as he pretends to be Professor Ernst Kirkland from the Kabul Institute of Technology has finally got up with him. What the combined forces of Britain and the United States could not do Steve Jobs has done. He has welcomed Osama Bin Laden to his knees. And those are the bees knees. Attention all CIA agents. Bees are little insects that fly around biting people.

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Carpal Tunnel Syndrome

Carpal tunnel syndrome is an entrapment syndrome of the median nerve at the wrist level and can result from many disease conditions. If you have been diagnosed as having carpal tunnel syndrome it is important to exclude other conditions that can cause problems of the peripheral nerves specifically metabolic conditions such as diabetes. The common mechanical cause for initiating the symptoms is repetitive stress injury to the wrist.

When there is carpal tunnel syndrome, the patient usually has symptoms of pain, tingling and or numbness in the thumb, index finger, middle finger and half of the ring finger closer to the middle finger. Many patients however complain of numbness in all the fingers. If the patient has numbness also in the little finger and the ring finger this is an indication that the ulnar nerve is also involved. When there are symptoms in all the fingers, the involvement is not only localized to the median nerve.

The local pressure on the median nerve is usually from thickened and swollen flexor tendons that pass through the carpal tunnel under the ligament of the wrist called the flexor retinaculum. Inflammation of these flexor tendons makes the carpal tunnel tight allowing the tendons to press on the nerve. If the goal of the treatment is to decongest the carpal tunnel using local injections or surgery, the patient's symptoms may not be alleviated. Many patients continue to have symptoms with treatments that are directed only to the median nerve at the wrist level.
To avoid having surgery as the first line of choice, treatments must involve the flexor tendons that pass through the wrist putting pressure on the median nerve. Using the see-saw principle you will now understand that if the flexor tendons are the problem, their actions have been chronically unopposed by the presence of weak or lengthened extensor muscles on the back of the forearm.

Patients with carpal tunnel syndrome especially those who have symptoms also in the last 2 digits have associated spinal nerve root aging at multiple levels. When spinal nerve roots age or are subjected to sudden or insidious trauma, the muscles that they supply become shortened and tight. The most commonly injured nerve roots are C6 and C7 spinal nerve roots. Of all the muscles that these nerves supply, the muscles that will become weakened first are the muscles that are frequently subjected to lengthening contractions.

In the upper limb, the muscles that will weakened first are the posterior deltoid, latissimus dorsi and the triceps muscles. Since these large and powerful muscles are the first ones to be used in prolonging contractions in order to stabilize joints in most activities of daily living, when they become weaker, the smaller muscles of the forearm are used to stabilize the joints. The forearm extensor muscles arise from above the elbow joint and in the presence of weakness of the triceps, will be called into play to help the triceps in motions that require straightening the elbow.
The forearm extensor muscles are primarily used for lifting the wrist upward. When they become weak, the flexor muscles in the front of the forearm become tight and shortened due to the unopposed pull and will initiate not only the development of carpal tunnel syndrome but in maintaining the symptoms by continued pressure on the median nerve at the wrist level .

Therefore, conservative treatment of carpal tunnel syndrome treatment is more complicated than one might think of. To return optimal function to the posterior deltoid, triceps and latissimus dorsi muscles, the tightness and spasm in these muscles have to be released. To allow the strongest and largest muscle provided by the C6 and C7 roots, sometimes the latissimus dorsi, to function better release of muscle spasm and shortening within this muscle must be addressed. In addition, for this muscle to perform optimally, non-invasive electrical stimulation of the motor points with eToims, must involve the entire paraspinal muscles from neck to the lower back, scapular and upper limb muscles as well as muscles of the hip and pelvic girdle .
© 2007 copyright Carpal tunnel syndrome

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Could You Have Developed Arthritis in Your Hands? If So, Do You Know How to Treat It?

Arthritis is a condition which quite literally means inflamed joint. Usually in a joint, you have smooth, cartilage covered bones which move smoothly against each other when they move.

Arthritis generally occurs when those bones become worn down by the smooth surfaces becoming uneven and rubbing together. It is possible for arthritis to appear in any part of the body, although when it appears in the hands and the fingers, it is definitely more noticeable.

Arthritis in the Hands

Overall there are twenty seven bones in our hands and two bones which create the wrist. These include nine main ones and eight smaller ones. If arthritis does develop in the hands it can be extremely painful and often disabling. There are various different types of arthritis in the hand including osteoarthritis, post-traumatic arthritis and rheumatoid arthritis

Rheumatoid arthritis causes problems for the cells which line and lubricate the joints. It can affect the whole body and it can often affect several joints at the same time on both sides of the body. The lining of the joint generally becomes swollen and inflamed, and it typically erodes the cartilage and the bone.

It is also possible for the swollen tissue to stretch the surrounding ligaments which hold the bones together. This usually ends with deformity and instability of the joints. It is also possible in some cases, for the inflammation to spread to the tendons which are used to connect the muscles to the bones. This often ends with ruptured tendons. When a person gets Rheumatoid arthritis in the hand, it is usually most common in either the finger knuckles or the wrist.

The symptoms of Rheumatoid arthritis in the hand include:

Cracking sounds during movement

A little, soft lump on the back of the hand which moves with the tendons which straighten the fingers.

Unstable joints within the fingers or thumb

Any stiffness or swilling within the hand

The above are just some of the symptoms which show once you have arthritis. If you do notice any symptoms you should consult your doctor immediately.

Treatment for Rheumatoid Arthritis

The treatment designed for Rheumatoid Arthritis is aimed towards relieving pain and restoring the hands function. Usually medications are given for arthritis in the hands, which help to reduce any inflammation and to slow the arthritis down so that it does not have much chance to progress. Some treatments include oral steroids and even cortisone injections.

In some cases your physician may suggest that you see a hand therapist in order to exercise the hand as well as providing splints and advice on how you can relieve pain and the pressure on the hand, as well as protect your joints. There are also some devices which could really help with everyday life.

If the arthritis does get to the stage where the tendons rupture, you could find that you end up having trouble straightening or bending the fingers. If the problem is particularly severe, surgery may be the only option. Usually surgery includes removing inflamed joints and giving joint replacements. If the bones are damaged, parts of them may be removed.

The type of surgery will vary depending upon how severe the problem is and where the problem is in the hand. A hand surgeon will be able to give you the best advice possible as to what surgery you do need.

Overall there is no cure for this kind of arthritis, but there are treatments available which can help you to control the condition. It is always better to treat the condition as early as possible in order to stop any permanent deformities and problems from occurring.

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What’s The Best Way To Treat Osteoarthritis Of The Hand? Do The Europeans Know Something We Don’t?

Symptomatic osteoarthritis (OA) of the hand affects 20% of those people older than 55 years and has the potential for significantly affecting activities of daily living. Interference with grip and fine precision pinch and dissatisfaction with cosmetic appearance are major concerns.

Current evidence for the management of hand OA is currently based on either expert opinion or what appears to be effective for OA affecting other joints. However, the small size and accessibility of hand joints allow a different range of interventions than in large joint OA.

The European League Against Rheumatism (EULAR) is the American equivalent of the American College of Rheumatology. They formulated guidelines for OA of the hand at their annual meeting in June 2006.

The 11 recommendations were as follows:

o Optimal management of hand OA requires a combination of nonpharmacologic and pharmacologic (non drug and drug) treatment modalities individualized for each patient.

o Therapy of hand OA should be individualized based on the localization of OA; risk factors (age, sex, adverse mechanical factors); type of OA (nodal, erosive, traumatic); presence of inflammation; severity of structural change; level of pain, disability and restriction of quality of life; comorbidity (other concurrent diseases) and comedication (other concurrent medicines) (including OA at other sites); and patient desires and expectations.

o All patients with hand OA should receive education concern joint protection (how to avoid adverse mechanical factors) together with an exercise regimen (involving both range of motion and strengthening exercises).

o Local application of heat (with paraffin wax or hot pack), especially before exercise, and ultrasound are helpful.

o Splints are recommended for thumb base OA, as well as orthoses to prevent or correct lateral angulation and flexion deformity.

o Local treatments are preferred over systemic treatments, especially for mild to moderate pain and when only a few joints are involved. Topical non-steroidal anti-inflammatory drugs (NSAIDs) and capsaicin are safe and effective.

o Because of its efficiency and safety, paracetamol (up to 4 g / day) is the oral analgesic of first choice. It is the preferred long-term oral analgesic for patients who respond. (Paracetamol is an analgesic similar to acetaminophen).

o In patients who respond inadequately to paracetamol, oral NSAIDs should be used at the lowest effective dose and for the shortest duration, and the patient's requirements and response to therapy should be reevaluated periodically. Patients with increased gastrointestinal risk should use nonselective NSAIDs (eg, regular anti-inflammatory drugs like ibuprofen or naproxen) plus a gastroprotective (medicine to protect the stomach lining) agent or a selective Cox-2 inhibitor (eg., Drugs like Celebrebrex) . In patients with increased cardiovascular risk, Cox-2 specific inhibitors are contraindicated, and nonselective NSAIDs should be used with caution.

o Symptomatic Slow-Acting Drugs for Osteoarthritis (eg, glucoasamine, chondroitin sulphate, avocado soybean unsaponifiabetes, diacerhein, intra-articular hyaluronan) may offer symptomatic relief with low toxicity, but effect strains are small, suitable patients are not defined, and clinically relevant structure modification and pharmacacoeconomic benefits have not been established.

Intra-articular injection of long-acting corticosteroid (cortisone shots) is effective for painful flares of OA, especially at the trapeziometacarpal joint.

o Surgery, such as interposition arthroplasty, osteotomy, or arthrodesis, is effective for severe thumb base OA and should be considered in patients with marked pain and / or disability after failure of conservative treatments.

While these guidelines are useful, they are by no means comprehensive nor are they hard and fast rules.

In our clinic we have found many other types of therapy to be helpful. For instance, compressive driving gloves worn inside out so the seams are on the outside at night are helpful for reducing morning stiffness.

We advocate the regular use of the therapeutic paraffin baths.

Steroid injections are very useful but should be done using ultrasound guidance to ensure accuracy.

Symptomatic OA at the base of the thumb that does not respond to injection with glucocorticoids can be treated arthroscopically with debridement followed by an injection of a viscosupplement. (Wei N, Delauter SK, Beard SJ.) Arthroscopic debridement and viscosupplementation: a minimally invasive treatment for symptomatic osteoarthritis involving the base of the thumb J Clin Rheum 2002 Jun; 8 (3): 125-9.

Finally, the role of the hand therapist is key in maintaining functionality in patients.

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Carpal Tunnel Syndrome Exercises Equal Relief

Carpal tunnel syndrome is a painful condition, with symptoms ranging from numbness, tingling and paresthesia (pins and needles) in the thumb, index and middle fingers. Not all of the listed symptoms have to occur simultanously and can vary from week to week. Severe cases of carpal tunnel are characterized by wrist inflammation and swelling and muscle wasting in the hand, especially the base of the thumb (Thenar eminence).

Carpal tunnel syndrome in most cases is caused by a muscle imbalance between the flexors, extensors, radial and ulnar deviators and supinator and pronator muscles in the hand and forearm that extremely leads to median nerve entrapment at the wrist junction. The entrapment occurs as both weak and strong muscles pull at the bones in a tug-of-war fashion, causing the bones to shift towards the stronger muscle side and resulting in the shifting and misalignment of the bones, which in turn compress the median nerve and other surrounding soft tissues and blood vessels.

It is simply that the weaker stabilizing muscles can no longer do their job and lose the battle as the stronger muscles tighten down further and further and compress under structures. The condition can be exceedingly painful, and it is often associated with decreased strength and coordination in the hand. Although numerous treatments exist, such as cortisone injections and surgery, the most effective are those that address the underlying muscle imbalance that drives the condition.

During an initial doctor visit, patients may be prescribed non-steroidal anti-inflammatory drugs (NSAIDS) to reduce swelling and ease pain. They may also be advised to refrain from movements that place undue pressure on the affected area or wear a brace, which is fine but at nighttime only as daytime use increases the existing muscle imbalance by reducing stimulation and activity to the already weak and imbalanced extensor muscles . However, these are generally short-term treatments intended to provide relief of acute symptoms.

Effective relief and long-term treatment for carpal tunnel syndrome often comes in the form of hand and forearm exercises and stretches that promote muscle balance around the median nerve. These exercises are designed to promote greater equality in muscle strength and length in the wrist and to bolster trapped nerves and tendons. Many occupational and physical therapists used nerve and tendon “gliding” exercises in the early stages of the illness, but fail to take it the next step, which is to create overall balance between all the agonist and antagonist muscle groups in the hand and forearm , the key to fast, effective relief.

Research supports the use of exercises that involve strengthening the extensor muscles and stretching the flexor muscles and tendons in the hand and forearm. The goal is to provide overall balance and stability to the muscles, which in turn provides increased joint integrity and the reduction of median nerve compression.

By eliminating the causative factors of median nerve compression through effective stretch and exercise therapy, the injury simply goes away!

Be sure to consult with your physician prior to beginning an exercise or therapy program.

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Common Sense Treatment For Carpal Tunnel

Carpal tunnel is an inflammation of a nerve in the hand called the median nerve. The nerve passes through the wrist in a small compartment called the carpal tunnel. If the pressure inside the tunnel increases the nerve reacts by becoming inflamed. Pressure increases can be caused by inflammation of the forearm tendons that also pass through the tunnel or increases in fluid pressure from fluid retention such as in pregnancy.

I have treated many cases of carpal tunnel in my practice and many patients make three big mistakes that really adversely affect their prognosis.

Mistake Number One: Get a Proper Diagnosis

There are a number of conditions that cause hand pain and numbness. For example there is another nerve can not become irritated in the little finger side of the hand called the ulnar nerve. If you've ever stuck the “funny bone” of your elbow what you've felt is the ulnar nerve. Another condition causes pain and swelling in the thumb tendons located in the wrist area. Many times people come to me thinking they have carpal tunnel when in reality they have a different condition. If they attempt to correct it themselves they can make the condition worse. Getting a diagnosis from a competent licensed health care practitioner will go a long way in healing.

Mistake Number Two: Get Treatment Early

This sounds simple but it is surprising how many people wait until the later stages of the disease until getting treatment. They try to wait out the disease in hopes it will resolve on its own. Occidentally it does but many times it continues to progress until it becomes a severe problem that requires a good deal of care.

One of the first signs of carpal tunnel is night numbness. This is a numbness that wakes you up at night and is not affected by changes in position. The numbness is generally in the thumb and first three fingers. If treatment is started during this stage the prognosis is good and many times little treatment is needed. If the problem progresses to constant numbness or pain, more treatment is generally needed. If the problem becomes severe with muscle weakness or wasting and constant pain or numbness then there is less of a chance for success with non-medical intervention.

Mistake Number Three: Eliminate the Cause

This seems like common sense, but many busy practitioners often do not have time to examine a patient's workstation ergonomically or question a patient about things that could have caused the problem. Many times I have seen people have several episodes of carpal tunnel largely because they never eliminated the cause in the first place. For example, there is a coworker of mine who just had several steroid injections over a period of several months for carpal tunnel and elbow tendonitis. I took one look at his workstation and was amazed that he did not have these problems sooner. No one had talked to him about changing his workstation or even mentioned it through his treatment.

Other Mistakes

Almost every time I go to the grocery store I see people working at the checkout wearing carpal tunnel braces. These are called cock-up splints or night splints. The reason they are called night splints is because they are only to be worn at night. The idea is that carpal tunnel is an inflammatory process and the infection tends to build up at night, which is one reason there is night numbness. Also, the splint has a plastic or metal piece embedded in it that holds the wrist in a position to decrease the pressure in the tunnel. Putting stress on the area by working and performing repetitive movements works to increase the pressure in the area.

What You Can Do

What can you do if you have been given a diagnosis of carpal tunnel? There are a number of non-medical ways to treat carpal tunnel. Exercises such as wrist stretches help to reduce tendonitis of the wrist flexor tendons. Certain nutrients have also been found to be helpful. These include:

Vitamin B6 – up to 300 mg per day initially for the first 3 months then decrease the dose to 100 mg.

Magnesium – 250 mg per day. Nerve problems like carpal tunnel are a sign of magnesium deficiency.

Natural Anti-inflammatory substances such as:




Boswellia Serrata



Many of the above substances can be found in the local health food store.

Other effective treatments include ultrasound. I use ultrasound in nearly every carpal tunnel case and have found it to be extremely effective. Electrical stimulation such as concurrent current may also help to reduce inflation. Alternative modalities such as chiropractic adjustments and acupuncture have also been found to be effective.

Lastly, really getting at the cause and working to eliminate it will help you to heal and avoid future episodes. If you do a lot of keyboarding it is helpful to adjust your seat so that your feet are flat on the floor, elbows close to your sides, and wrists as straight as possible. One of the worst positions is keyboarding with your wrists bent at the sides. Technically this position is called ulnar deviation and becomes worse as the elbows move sideways away from your body. If you use arm rests to be careful they are not too far apart.

Carpal tunnel can be a serious problem and in some cases surgery or steroid injections are the only options left. However, if you follow the above guidelines you will do your best to avoid a costly and expensive procedure.

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Carpal Tunnel FAQ

What is Carpal Tunnel?

Carpal tunnel and carpal tunnel syndrome (otherwise know as CTS) is an injury or disease process caused by a pinched or impingement of the nerve (s) in the wrist, resulting in pain and numbness in the thumb, finger (s) and muscle weakness of the hand area.

The name “carpal tunnel” receives its name from the bones in the wrist, called carpals, which form a “tunnel” through which the nerves pass through. Pain, tingling and numbness as well as other hand and wrist problems is known as CTS.

What are the Signs of CTS?

Possible signs and symptoms:

o Pain and / or tingling in one or both hands or fingers, frequently worse during activity or at night

o Feeling of weakness in the fingers, difficulty to squeeze or hold things

o Sensation that fingers are swollen even though little or no swelling is showing

o Loss of strength in gripping or carrying items

o Pain shooting from the hand up the arm as far as the neck or shoulder

It is important, if you believe you are suffering from CTS, to consult a qualified physician and health professionals for treatment options. Not everyone who has carpal tunnel syndrome experiences the condition at the same level, and a treatment that is suitable for one person may not be necessary for another.

What are the causes of CTS pain?

The wrist area is filled with tendons (attaching muscle to bone) that control finger and thumb movement. Tasks requiring highly repetitive and stressful movements of the wrist can cause pinching of the nerve (s) resulting in swelling and inflammation around the tendons, producing CTSl.

Injuries to the neck can damage nerves to the hands and wrists (known as “Double Crush Syndrome”) which also can cause CTS. This is common in “whiplash” injuries such as auto accidents.

Because pathway of the nerves to the hands connect all the way up to neck, any pinching or impingement at the neck (the first “crush”) or along this pathway can actually effect recovery and healing. Such impingement of these nerves can make them more susceptible or vulnerable to carpal tunnel syndrome (the second “crush”).

The double crush phenomenon and is broadly referenced in the scientific and medical research as a consistent finding in patients with CTS and can explain why some patients do not recover with care.

Often times in a sudden injury a patients can suffer double crush syndrome to the neck area. If the patient suffering from double crush syndrome and is just treated for carpal tunnel syndrome only, often times the treatment is not only ineffective, but the symptoms can get worse.

Such advanced stages can become quite serious, involving a loss of sensation, muscle deterioration, and permanent loss of function. It is important for the patient to be check for this syndrome.

Other possible causes include late stage pregnancy, disease processes, or even poor posture. Poor posture problems in particular are often overlooked when patients seek treatment.

What is the Therapy for CTS?

Many doctors and health professionals have access to different types of treatment for carpal tunnel syndrome. Treatments choices range from simple pain relief to long term active patient care. Possible methods of treatment can include rehabilitation, carpal tunnel wrist brace, traction, exercises, stretches, soft tissue massage, medication, injections, physical therapy, chiropractic, acupuncture or other types of care. In advance cases surgery can become an option.

As with any other health condition, it is very important that you talk with your doctor or other qualified health professional about possible carpal tunnel treatment or any other alternative care that he or she can recommend.

Regardless of the treatment, it is important that the carpal tunnel sufferer maintain good communication with their doctor or health professionals on treatment progress. As the patient improves under care, outside care and activities also need to be reviewed and addressed.

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How Do You Treat Carpal Tunnel Syndrome?

Once the diagnosis of carpal tunnel syndrome has been established and underlying diseases associated with the condition have been treated with, then it is time to treat the condition.

Medication such as acetaminophen and non-steroidal anti-inflammatory drugs can be used for symptom relief. Splinting the wrist, especially at night, helps keep the wrist straight during the night and thus decrees the pressure on the median nerve. These splints, which are available in your rheumatologist's office or at many pharmacies, may relay symptoms, especially in milder cases.

A cortisone injection into the carpal tunnel area is often helpful in relieving symptoms for weeks to months and can be repeated. Injections should be done using ultrasound guidance. If there is an underlying disease, such as hypothyroidism (under active thyroid) or rheumatoid arthritis, causing the carpal tunnel syndrome, then treatment of the specific disease may also relieve symptoms.

Carpal tunnel syndrome occurring during pregnancy is often treated with splints and occasional diuretics. These drugs should be used sparingly. Carpal tunnel symptoms usually resolve after delivery.

When the above measures fail to alleviate symptoms, surgical opening of the tunnel to relieve the pressure on the median nerve, known as a carpal tunnel release, is probably indicated. In severe cases, early surgery may be considered. If there is significant muscle atrophy, surgical release is indicated over more conservative measures. However, if the carpal tunnel syndrome is very severe and has been present a long time, even surgery may not work. The surgery may be an open surgical procedure or an endoscopic procedure, and can be often done on an outpatient basis.

A new procedure may make surgical correction of carpal tunnel syndrome unnecessary. Percutaneous needle carpal tunnel release involves the use of a tiny needle that is inserted using local anesthetic and ultrasound guidance. The needle is placed in the flexor retinaculum, the tough piece of fibrous tissue that forms the roof of the carpal tunnel. The flexor retinaculum is pierced a number of times while at the same time, small amounts of fluid are injected to spread the fibers of the retinaculum, in essence, weakening the retinaculum. At the bend of the procedure, the patient's wrist is gently bent and the weakened retinaculum breaks open. A splint is applied and the patient may resume normal activities the next day.

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Relief From Carpal Tunnel Syndrome – Non-Surgical Options Prove Promising

Carpal tunnel syndrome (CTS) is one of the most commonly reported work-related disorders in Dallas, Houston, through Texas, and across the United States. Although studies are still out, those most affected seem to be employees with jobs that require long-term repetitive movements, particularly those working with small hand tools or using computer keyboards on a regular basis.

Women are more likely to be diagnosed with CTS than men, and although it is highly suspect many young people suffer from the condition, those between the ages of forty and sixty are the most commonly diagnosed. Those with health insurance are also more likely to be rented.

CTS is a painful syndrome caused by pressure on the median nerve of the wrist, which runs through a passageway called the carpal tunnel. This syndrome affects the musculoskeletal structures of the upper extremity, and often results in pain, tingling, numbness, and weakness in the hands and / or wrist. Further symptoms include increased tingling or pain at night, a feeling of helplessness or weakness in the fingers, reduced ability to squeeze objects, loss of strength in the muscles at the base of the hand, and shooting pain up the arm, sometimes as far as the shoulder. In several cases, partial paralysis may occur.

It's been difficult to diagnose in the past, and therefore difficult for many in Texas and across the US to get treatment covered by individual health insurance. Cities like Austin, Houston and Dallas, though, now have more easily accessible pain centers, which specialize in diagnosing the syndrome through physical examinations and specialized scans, like MRIs.

CTS is garnering more attention in the medical and business communities in Texas due to its ability to incapacitate valuable workers, not to mention the pain and suffering it causes.

“It's a tough call,” sighed Mike * after a long day. “I hurt all the time now. I have to start considering surgery or something … otherwise, I'm not going to be able to work.”

Mike was diagnosed with CTS several months ago, and is increasingly worried about his ability to maintain his income as a self-employed production artist. “I do not have health insurance, so if I can get out of doing the surgery, I will. It looks so drastic anyway.”

The trouble with carpal tunnel syndrome is that the longer the condition goes untreated, the higher the chances of permanent damage. And like any disease, CTS is statistically less likely to be diagnosed and treated without health insurance coverage. Mike's story is not particularly rare. Over 25% of people in Texas went uninsured in 2005, far exceeding the national average of 15.9%. Rates are higher for the self-employed. What this translates into is 46.6 million Americans going without health insurance, 5.4 million more than in 2001-the recession year. Mike can not afford treatment, but he can not afford not to get treated, either.

Fortunately, there are less expensive options than surgery, and Texas offers a wide variety of choices, particularly in urban centers like Austin, Dallas and Houston. Pain centers specializing in carpal tunnel syndrome are excellent resources.

The first step, of course, is reducing the symptoms of the condition in hopes that, with time, those symptoms may be eliminated. These are free or low-cost measures that do not require individual health insurance policies. High caffeine, tobacco, and alcohol intake are contributing factors; those suspecting they have CTS should eliminate or reduce these as much as possible. Food allergies may exacerbate, or even cause, some of these symptoms as well, and common triggers include dairy, canola oil, and wheat / gluten products.

Some health practitioners believe dehydration also aggravates the problem. The earliest stages of dehydration do not exhibit immediately recognizable signs, and mild dehydration may only cause headaches or fatigue. Many practitioners in Texas predict Americans-with busy lifestyles, caffeine wines, and high stress-go slightly dehydrated on a daily basis. Dehydration impairs body functions, including the ability to supply proper nourishment to the extremities, which, of course, only makes CTS worse. Upping healthy fluid intake alone may reduce the severity of the disease.

Other symptom-reducing measures include stretching or flexing the hands, wrists, and arms before and during repetitive movements, reducing such movements to a bare minimum, using a wrist splint for four to six weeks, modifying tasks to reduce pressure on the wrists, and , whenever possible, using CTS-friendly equipment, such as wrist rests, and adjustable keyboards, tables, and chairs. A study of library managers conducted at Texas A & M found promising results for preventing or reducing symptoms of the condition after modifying work surfaces.

Nutrition is also of utmost importance. In fact, some in the medical community believe carpal tunnel syndrome is actually caused by a deficiency of B-6, made worse by repetitive movement. Positive results have been achieved for those in Texas and across the United States by administrating 100mg of B-6 daily. Other dietary recommendations include taking a high-quality multi-vitamin-which should include antioxidant vitamins A, C, E, and D, and the trace minerals magnesium, calcium, zinc, and selenium. Omega-3 fatty acids, found in fish oils, have been shown to reduce inflammation associated with CTS, as has Methylsulfonylmethane (MSM) and Resveratrol (from red wine).

Green tea, milk thistle, bromelain, turmeric, and cat's claw are excellent herbs for reducing symptoms associated with CTS. Applying a hot castor oil pack for one to five hours at a time may also reduce pain and inflammation.

One of the most promising, non-surgical treatments for CTS available today is acupuncture, an ancient form of Chinese medicine dating back thousands of years. The National Institutes of Health reported promising results for treating CTS with acupuncture as early as ten years ago, and the community of qualified Chinese medical practitioners-who undergo at least four years of intensive training in Chinese medicine-have long attested to its efficiency. Acupuncture is believed to help restore normal nerve function and provide long-term relief of pain associated with this, and other chronic inflammatory syndromes. Common forms of acupuncture treatment include low-beam laser acupuncture, often accompanied by electrical stimulation (a painless administration of low-intensity current).

Finally, an injection of corticosteroid in the wrist may provide temporary relief of pain without surgery for those with moderate symptoms. Dr. Shawn Marshall of the University of Ottawa (Canada) found twelve published studies that confirmed a single injection of the steroid was, on average, more affective than a placebo for relieving pain. Concerns in the medical community over use of the shot have surrounded long-term damage to the nerves. It's still controversial but, at the very least, practiceers recommend only short-term usage, and not to repeat the injection if it is ineffective the first time. Over the long-term, oral anti-inflammatory medications, such as ibuprofen, and using wrist splints, may be just as effective.

If you suspect that you may be afflicted with carpal tunnel syndrome, do not be afraid to check it out with a qualified practitioner. Texas abounds with pain centers, acupuncturists, and other qualified physicians with a growing knowledge of the condition and the ability to help. If it's eaten early, the syndrome is reversible, and, with the proper assumptions and dietary modifications, may never return.

How you treat and maintain your body when you're young will certainly affect your health as you age, and often your wallet. If you're a young individual who tries to keep informed and maintain a healthy condition and lifestyle, you should take a look at the revolutionary, comprehensive and highly-affordable individual health insurance solutions created by Precedent specifically for you. Visit our website, [], for more information. We offer a unique and innovative suite of individual health insurance solutions, including highly-competitive HSA-qualified plans, and an unparallel “real time” application and acceptance process.

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Carpal Tunnel Syndrome Surgery – Is it Effective?

Carpal Tunnel Syndrome is a painful condition that is characterized by symptoms such as pain, swelling, numbness, tingling, paresthesia (pins and needles) and loss of strength and coordination in the thumb, index, middle and sometimes one-half of the ring finger . Not all of the symptoms or fingers have to be affected simultaneously as symptoms often vary and may move around. (Symptoms present in the ring and little finger are not carpal tunnel syndrome and instead are related to ulnar nerve entrapment in disorders like Guyon's Syndrome and Cubital Tunnel Syndrome.)

Carpal Tunnel Syndrome is the most common nerve entrapment disorder in the past decade and is generally caused by muscle strength and length imbalance that exists between the flexor muscles that close the hand and the extensor muscles that open the hand, resulting in excessive pressure on the median nerve. Surgery is one option for treating this disabling condition; however, it remains a controversial choice and it is important to fully understand the risks and benefits involved.

There are many invasive and non-invasive treatments for carpal tunnel syndrome including medication, exercise, wrist splinting, and corticosteroid nerve injections. Surgery is by far the most invasive procedure and it merits careful forethought as a major of those undergoing the knife may obtain some relief, long-term relief has a very poor success rate. In contrast, the vast majority of patients fare better with conservative treatment and it is estimated that less than 1/3 require surgical intervention. Indeed, surgery is only recommended when there is persistent, debilitating pain, deteriorated grip or grinding, muscle flattening and all other conservative methods have been tried.

There are multiple forms of surgery for Carpal Tunnel Syndrome including open hand surgery and endoscopic surgery, a less invasive incision through the muscle in the palm. Symptoms such as pain and numbness usually begin to improve in about 18-days with endoscopic release and about 38-days with open release surgery. Muscle coordination, control, and strength may initially worsen following surgery, and a return to pre-operative status may take several months for some people, depending on the procedure performed, age, severity of symptoms and length of injury present prior to surgery. Significant improvement to pre-injury status may take as much as two years to achieve, if it comes at all according to the following carpal tunnel surgery statistics:

· Only 23% of all Carpal Tunnel Syndrome patients returned to their previous courses following surgery, according to the Bureau of Labor & Statistics and the National Institute for Occupational Safety & Health (1997-2000 Statistics).

· Carpal Tunnel Surgery has about a 57% failure rate following patients from 1-day to 6-years. At least one of the following symptoms re-occurred during this time: Pain, Numbness, Tingling sensations. Source: Nancollas, et al., 1995. J. Hand Surgery.

The complications associated with surgery as well as the timeline to substantive recovery make it a last choice resort for most patients. Thankfully, there are numerous effective treatment alternatives that are much less invasive and provide more immediate and long-term relief for those disabled by Carpal Tunnel Syndrome.

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Lupus And Arthritis – How They Go Hand In Hand

If you suffer from lupus, chances are good that you suffer from arthritis as part of the condition. This condition is one in which individuals often face pain in their body and, like arthritis, something with the body's immune system does not function the way that it should and the end result is that the body is attacked by its own white blood cells. In lupus, the body is attacked in many places including the tissues of various parts of your body. That is like arthritis, which is generally characterized by the immune system attacking the tissue in the joints of the body.

Do You Have Lupus? Symptoms To Be Aware Of

Lupus can affect anyone but it is more sooner to be found in African, Native American or Asian heritage. Women are more likely to get it 9 out of 10 times and it especially happens to those that are from age 14 through 45. The symptoms of lupus can be very different from one person to the next, but they will likely include some of these. Joints that ache and are painful, swollen joints, fevers that rise to 100 degrees Fahrenheit or more without any other explanation, pain in the chest, a butterfly like rash on the shoulders and nose, loss of hair, or prolonged fatigue.

When you have lupus, you have an increased chance of having arthritis of one type of another. Most commonly, this will mean pain in the joints that leads to swelling there. Some individuals characterize their pain as being that of stiffness as when they wake up in the morning they may feel more pain and discomfort then when they are using their joint. In some patients that have arthritis with lupus, the arthritis pain can come and go. It may last a few days, weeks or longer then will not be noticeable until the next bout. One thing that is good to note is that the type of arthritis that you may be prone to getting with lupus is actually not as crippling as other forms of arthritis in general.

There are other complications that come from lupus, though, that can be worrisome. One of the tell tale signs of lupus includes skin conditions. Usually a rash will form on the skin across the nose and checks. In addition, sores may develop in the mouth as well as cause hair loss. There are different types of lupus which also determine the type and severity of the skin complications that can be found in lupus patients.

Other problems that lupus can cause include kidney problems, which can lead to life threatening conditions. Blood problems can also play a role in the condition that you face. If the amount of red blood cells in your body drops (or white blood cells) there is a problem that can lead to the insufficiency of the blood to clot.

Working with your doctor, you can handle both lupus and arthritis and the complications that they bring to the table.

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Carpal Tunnel Syndrome, Cause, Effect And Solution

Carpal tunnel syndrome is the most frequently diagnosed nerve entrapment disorder reported. Exceedingly inconvenient and debilitating, the carpal tunnel syndrome typically includes pain and paresthesia (ie, tingling pins and needles sensation), numbness, tingling and reduced coordination of the thumb, index middle and sometimes one-half of the ring fingers. If left untreated, the carpal tunnel syndrome usually leads to wasting away from the thenar eminence muscles located at the base of the thumb in the hand.

Population studies conducted in Sweden indicate that the prevalence of carpal tunnel syndrome is 2.7 percent. However, diagnostic procedures and scientific measurement approaches vary, making it difficult to ascertain exactly how many people really suffer from the disorder. It is estimated that 3% of people in the United States suffer from this debilitating condition, resulting in about nine million people currently suffering from carpal tunnel syndrome.

What causes carpal tunnel syndrome? The etiology of carpal tunnel syndrome is the subject of significant research, and it appears the nerve entrapment that characterizes carpal tunnel syndrome is caused by numerous occupations and stress factors such as tasks involving repetition, static-flexion (non-moving gripping actions), duration and force which all really have one element in common, overuse of specific muscles or groups of muscles. With the overuse of unidirectional (one-way) movement patterns being so common in today's work force of typing, mousing, meat cutting, assembly line work, it is easy to see that structural imbalances can easily occur in the hand, wrist and forearm that lead to entrapment of the median nerve and the resulting carpal tunnel condition.

Although the structural imbalance definition just described is seemingly common sense, there are also many other arguments of how carpal tunnel syndrome begins. Some suggest that heredity is a primary determinant of the condition, and some studies suggest that genetic loading determines as much as 50 percent of the risk for developing the disorder. Twin studies provide further evidence for heritability, demonstrating higher concordance of carpal tunnel syndrome among monozygotic versus dizygotic twins (ie, the more genes you share, the greater the risk for carpal tunnel syndrome). In addition to heredity, gender, size of wrist, pregnancy, menopause, diabetes, and renal failure have all been associated with the development of carpal tunnel syndrome.

As with many disorders, carpal tunnel syndrome may be affected by genes and./or gender, but reality would stress that occurrence is more likely based on physical demands of specific occupations, the reason that certain occupations have a higher incident rate of carpal tunnel syndrome than others. If carpal tunnel syndrome was based on heredity, gender or size of wrist, the rate of carpal tunnel syndrome would be more substantially generic, with most unisex occupations reporting the same rate of injury no matter what type of physical stress the task involved.

For fast, effective relief, spend a little time keeping your hands, wrists, forearms and shoulders physically fit and balanced. A good stretch and exercise program is the key to not only preventing carpal tunnel syndrome but also treating it. Effective conservative treatment involves creating muscle balance around susceptible joints in order to reduce compression of underlying nerves. The solution is plain, simple and effective.

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